EUNSU JUNG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DDS

First Name

EUNSU

Last Name

JUNG

Business Name

EUNSU JUNG DDS

Original Issue Date

07/14/2020

Effective Date

07/14/2020

Expiration Date

01/31/2022

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022